"The involuntary character of psychiatric treatment is at odds with the spirit and ethics of medicine itself"
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Millett’s line lands like a scalpel because it borrows medicine’s own moral vocabulary and turns it against psychiatry’s coercive edge. “Involuntary” isn’t just a procedural adjective here; it’s the accusation. Medicine, in the public imagination, is premised on consent, trust, and the patient’s agency. By pairing that word with “spirit and ethics,” Millett frames forced treatment not as an unfortunate exception but as a structural contradiction - a practice that violates the very story medicine tells about itself.
The subtext is political: psychiatry is not merely a healing enterprise but a social instrument that can be deployed to manage deviance, dissent, or nonconformity under the cover of care. Coming from an activist whose life intersected with feminist critiques of institutional power, the sentence reads as a warning about how easily “help” becomes a euphemism for control when the state, family, or medical authority gets to decide whose mind counts as legitimate. It’s also a shrewd rhetorical move to avoid debating diagnoses on their own turf. Instead of arguing whether a given patient is “ill,” she questions the legitimacy of treatment that begins by stripping the patient of choice.
Context matters: Millett wrote in the long shadow of mid-century institutionalization, with its history of confinement, overmedication, and punitive “therapies,” and amid broader 1970s-era skepticism toward expert authority. Her intent isn’t to deny mental suffering; it’s to insist that ethical medicine can’t be built on compulsion without admitting it’s practicing something closer to governance than care.
The subtext is political: psychiatry is not merely a healing enterprise but a social instrument that can be deployed to manage deviance, dissent, or nonconformity under the cover of care. Coming from an activist whose life intersected with feminist critiques of institutional power, the sentence reads as a warning about how easily “help” becomes a euphemism for control when the state, family, or medical authority gets to decide whose mind counts as legitimate. It’s also a shrewd rhetorical move to avoid debating diagnoses on their own turf. Instead of arguing whether a given patient is “ill,” she questions the legitimacy of treatment that begins by stripping the patient of choice.
Context matters: Millett wrote in the long shadow of mid-century institutionalization, with its history of confinement, overmedication, and punitive “therapies,” and amid broader 1970s-era skepticism toward expert authority. Her intent isn’t to deny mental suffering; it’s to insist that ethical medicine can’t be built on compulsion without admitting it’s practicing something closer to governance than care.
Quote Details
| Topic | Ethics & Morality |
|---|---|
| Source | Help us find the source |
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